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Movaia Running Podcast: A Runner’s Guide to Achilles Tendinopathy

Runners Guide to Achilles Tendinopathy Podcast Cover

In this episode of the Movaia Running Podcast, I (Movaia’s founder Thomas Butter) and expert JP Gloria delve into Achilles tendinopathy, a common injury among runners, particularly masters athletes. We discuss the symptoms, classifications, and risk factors associated with this condition.

Listen on Spotify or Apple podcasts, watch the full video on YouTube or continue below for key take aways and the full transcript.

Summary

The conversation covers training modifications, rehabilitation strategies, and the significance of strengthening exercises for recovery. JP highlights the need for patience in the healing process and offers insights on when to seek professional help for Achilles-related issues.

Our conversation delves into the management and treatment of Achilles tendon pain, focusing on pain guidelines, treatment options, and the importance of strength training. We cover effective exercises for recovery and emphasize the need for a proactive approach to prevent long-term issues. They also highlight the psychological aspect of dealing with chronic pain and the importance of maintaining confidence in the recovery process.

Note that none of this is medical advice and you best see a specialist looking into your specific situation when experiencing pain.

Key Take Aways

Here are some key take aways from our discussion:

  • Achilles tendinopathy is prevalent among older runners.
  • Inflammation is not always present in tendinopathy cases.
  • Age and certain medications increase the risk of Achilles injuries.
  • Speed work can aggravate Achilles tendon issues.
  • The Achilles tendon plays a crucial role in running propulsion.
  • Strengthening exercises are essential for tendon recovery.
  • Patience is key; tendon healing can take months to years.
  • Modifying training is better than complete rest for recovery.
  • Heavy slow resistance training is effective for building tendon strength.
  • Avoiding uphill running can help reduce strain on the Achilles. Speed matters in managing Achilles tendon pain.
  • Pain should return to baseline within 24 to 36 hours.
  • Runners often underestimate their pain levels.
  • Limping is a sign of compensation, even if painless.
  • Strength training is crucial for recovery.
  • Daily life habits can contribute to tendon pain.
  • Eccentric exercises are not the only effective method.
  • Consistency in exercises is key for recovery.
  • Overthinking injuries can lead to inaction.

Introduction

Thomas Butter (00:08)
Hello everyone, welcome again to the Movaia Running Podcast. Today we’ll focus on probably the second least popular running injury, which is Achilles tendinopathy. And today my expert guest is again JP Gloria, hi JP.

JP (00:25)
Hello, nice seeing you again.

Thomas Butter (00:28)
Yeah, indeed. JP of course, is a coach, physiotherapist, running form expert, and we’re very glad to have him on board today. So, JP, let’s get right into it. Can you tell us if I’m a runner and I’m suffering from Achilles tendinopathy, what would it feel like, where would I feel it, and what is it?

What is Achilles tendinopathy?

JP (00:48)
Okay, Achilles tendinopathy is actually probably one of the most prevalent injuries for a masters athlete. So when we say masters athlete, that’s like, 35 and up. Achilles tendinopathy

What is it? Essentially Achilles tendonopathy is irritation on the end of the Achilles tendon typically. What’s interesting about it is we used to call it more Achilles tendonitis, but we have shifted the wording to tendinopathy.

The reason that is, because in a lot of cases what we found is inflammation is not present. Because when we say Achilles tendonitis, the -itis means inflammation. But in a lot of these cases, there really is not much inflammation.

With Achilles tendon, there are actually different, types of Achilles tendinopathy. There’s one, there’s irritation right at the attachment between the heel or calcaneus

and the tendon and that’s typically called an insertional Achilles tendonopathy. Then if it’s not quite there, but it’s at like a few inches or centimeters above that area, there’s something called mid-substance Achilles tendonopathy. So it’s important to make those classifications because how we work on those is different. Also the timeframes and prognosis is different.

Then we could talk about like, how does it happen? And it’s affected by a lot of different things. the most common is from overusing that area

Risk factors for Achilles tendinopathy

Thomas Butter (02:18)
So we have basically two slightly different places, where as a runner, you would probably feel it. One of them is very close to the heel and the other one a little bit above it. Then you said that they are somewhat different in the outcomes and how you treat them. Are they also different in the risk factors and if yes, what are they?

JP (02:45)
That’s an interesting question. And I’m not sure if a lot of the research does make that delineation between risk factors, but a lot of times we just lump them together, essentially. So what I like to do is when I think about risk factors, I like to separate them between two different sides. I think we kind of talked about this in previous episodes where

I like to think about the person’s body and what are the risk factors with that compared to their training or the demands of running and what things influence it from that perspective. So when it comes to, let’s say the body, there are a few things. I think I mentioned this. Typically this happens with older runners so that’s age is a risk factor there.

Another thing to consider is drugs, so being careful with certain antibiotics or medications you take. A good example of this is fluoroquinolones. So those things, increase the risk of having an Achilles tendinopathy.

Thomas Butter (03:44)
Another reason to be careful with antibiotics. And I think also steroids was another medication that can be a tricky for the achilles.

Training modifications for Achilles tendinopathy

JP (03:52)
Right, steroids can be tricky, especially for Achilles tendinopathy, but for paratenons stuff, it might actually be helpful. I keep mentioning the paratenon, that’s kind of the wrapping or sheath around the tendon, because it is vascular and can get inflamed. Another thing to point out is, especially with the Achilles tendon, is on that other side of things, basically a spike in training. So if you do too much too soon, right? That’s an obvious one. But let’s take this a little bit of a step further. Uphill run, doing a lot of hill training. Because what you’ll find, especially with people dealing with, let’s say Achilles tendinopathy, they’ll have difficulty going uphill because that puts a little bit more strain on that area.

Another example is, speed work. So that’s something to consider specifically with the Achilles because it seems to get aggravated with more speed work, which is kind of the opposite of the knee. In certain cases, especially with patellofemoral pain or just knee, if you want to just call it knee pain, what you might find with some people is that actually, their pain gets aggravated with slower running and actually feels a little bit better if they pick up the pace a little bit. But that’s quite the opposite with the Achilles. Actually speed work is the thing that I’m most careful about when I’m getting someone back into training.

The Achilles’ function

Thomas Butter (05:11)
That’s probably a good point to talk about the function of the Achilles, right? Because you mentioned speed work, aggravates it, and that’s probably due to the function that the Achilles tendon has. I remember hearing once it’s actually the thickest and the largest tendon in the human body. So what does it actually do when we’re running?

JP (05:29)
Right, the Achilles tendon is, it’s one of thickest tendons, if not the thickest. When we look at the Achilles, it helps with energy storage and really that’s the same with all tendons. But when it pertains to running, it contributes to multiple things, but its primary contributor is actually through propulsion. So essentially to help us move forward, the Achilles tendon does a lot of that

Yeah, it’s a lot of force, right? So I think they’ve looked at musculotendinous forces. there’s plenty of papers looking at this. I think in some, it’s been recorded, it could be six to eight times, six to nine times body weight through that area while running. So, and as you go faster, it can go even higher too, like.

Thomas Butter (06:03)
as we go faster I guess that goes up right and then as you go is it because you go uphill the tendon has to do more work that’s why it gets then more aggravated?

JP (06:17)
Right, because then we go into the idea of what irritates the area? So what’s interesting about like tendons in particular it’s almost the opposite of bones. So bones are really good with like compressive forces. However, if you want to break a bone, you want to essentially lengthen it and do some form of lengthening mechanism.

For tendon it’s quite the opposite. It actually doesn’t do quite well with compression. It actually doesn’t do well with a two combination of things occurring, which would be compression and shearing at the same time. This is why that with insertional Achilles tendinopathy, the one that attaches near the heel, this is where when it’s highly irritated, stretching actually might not be advised because it actually might flare it up. Because if you think about the mechanism of doing let’s say calf stretch, that distal portion of the Achilles tendon will one go through compression pushing against the calcaneus along with causing a shearing effect as it’s like on the calcaneus as well. So it’s just something to consider.

Thomas Butter (07:20)
Okay, so be careful with stretching if you’re dealing with the type of achilles pain that’s closer to your heel. So you’re talking about risk factors, right? And you talked about a few of them already. You talked about age, weight, speed, going uphill a lot. And previous injuries probably like with most injuries?


Yeah, that’s a good old standby for running injuries, What other things to consider, about equipment, shoes, running form, anything else that would come to mind?

JP (07:42)
Yeah, there’s a few more. Another interesting one is decreased tendon stiffness. Because we do want stiff tendons when we run.

Another thing that can be worked on is ankle plantar flexion strength. So essentially that’s working your calf muscles. Limited strength in that area or weakness in that area may be a risk factor for developing Achilles tendonopathy.

Running shoes’ impact on Achilles pain

Thomas Butter (08:14)
Okay, so we want stiff tendons, want strong calves and I guess a bit later we’ll talk about exercises, how to work on that.

Is there a difference in shoes? Do certain shoes make it worse? Barefoot type of shoes versus bigger heel drop.

JP (08:33)
Oh yeah, these things would have an impact. let’s say shoes, I think about it more as a risk factor would be change of shoes. Like, you know, it’s for the same reason that that changes the distribution of forces

So your body might not be used to running a particular way when you use one shoe versus another. But to that point, you know, when you have a higher, let’s say more of a barefoot shoe, that does put a little bit more force around the calf ankle region. So it might make that Achilles tendon work a little bit more compared to a shoe with a little bit of a higher heel drop. So that’s something to consider.

Running form and Achilles tendinopathy

Thomas Butter (09:07)
Would you consider any run from modifications for someone that suffers from Achilles’ pain?

JP (09:13)
I guess we’re talking about run technique. I think something that we always care for with a lot of different areas is the idea of reducing over striding, which essentially is when the foot lands a little bit further from the body. Because if it lands further than the body, there is essentially more loading going on in that leg. And if the Achilles tendon is more, let’s say aggravated with increased loading, getting that foot to land closer to you may be helpful. Now, to that point, we could also talk about cadence, which is a very hot topic, which refers to how quickly one takes steps.

What’s interesting about this, I mean there is some research that does suggest that, you know, increasing your step rate can be helpful for things like plantar fascia. But when it comes to ankle loading, when you increase your cadence, it doesn’t make a whole lot of difference. I mean, as you increase your cadence, the overall loading on the leg changes, but

A lot of the decreases in loading actually happen more so from the knee and hip area and not so much the ankle area. So if we’re trying to decrease loading on the ankle calf complex, increasing your cadence might not necessarily be beneficial in that respect.

Can you run with Achilles tendinopathy?

Thomas Butter (10:28)
So there’s a few things we discussed that might be worth looking into, apart from the fact that you can’t change yet, like age. So once you know you are suffering from Achilles pain when would it be a good time to go and see someone like you? And then what would a treatment plan look like?

JP (10:52)
Usually I see these people way past you know when they should have been seen What happens typically when someone you know gets this like flare up in the Achilles, let’s say.

People immediately get worried or concerned and then the person decides, maybe if I rest it, it might get better. But a lot of times for a true Achilles tendinopathy, absolute rest doesn’t make it any better. And in certain cases, it makes it worse because now you’re also deconditioned as well.

Thomas Butter (11:20)
Your recommendation there would be to maybe first try to just reduce the volume rather than stopping totally and see if that resolves it rather than stopping completely. Would that be a fair way to summarize it?

JP (11:33)
So what’s interesting, and I’ve worked with people through like Achilles tendon stuff, if we’re talking about volume, of course when it first gets irritated, you may want to reduce the volume just because it’s irritated and it’s aggravated at that time. But when I’m actively working someone through like an Achilles tendon issue, we talked about reducing volume. In these particular cases, I actually, focus more on decreasing the amount of speed work one is doing first rather than the volume. Because like I mentioned before with the Achilles tendon it seems to get a little bit more aggravated and it depends on the person. Everyone’s a little different. But I’ve worked with plenty of people they were dealing with Achilles tendon irritability or tendinopathy.

JP (12:17)
And I remember helping them rehab through it. And then I remember getting them ready for like a big, big marathon. Something during that time, you know, as we’re training, especially when we were approaching peak week, you know, peak week means like they’re doing the most volume and intensity at that time, right? To be prepared for their race.

I was noticing that, and paired with her symptoms, that it was getting a little irritated and there were compensations happening with her running as well. So what did we do? How did we navigate her running at that point when we noticed all these compensations happening?

I actually, all I did was I just mentioned, you know, for now, let’s just get rid of the speed work. It seems to be the thing that aggravates it. In her case, it was. And let’s maintain the volume because it seems like the Achilles tendon handles that really well. And that happens for a lot of runners too. And sure enough, we were able to navigate it. She went through peak week, was able to maintain the same volume, didn’t really get any flare ups of symptoms.

And she was didn’t get injured. It was able to recover. And then, you know, what was it? During the race, she ended up doing a personal best. Actually, she ended up like Boston qualifying.

The importance of active (e.g. strength work) vs. passive treatments (e.g. massages)

Thomas Butter (13:33)
That’s amazing. basically, maybe not a good idea to do hill repeats and lots of intensity when you’re suffering that, but also not a good idea to stop running completely. Other than modifying training, are there other things you would consider like massages, stretches, strengthening for a runner like that?

JP (13:50)
Well, you know, if we really are actively trying to work on building the capacity of the Achilles tendon, passive modalities aren’t going to do much. They might make it feel better, which can be very helpful, but if we’re thinking about actually creating a stimulus to get thicker and stronger tendons, the way that we do that is not through stretching, but rather through strengthening.

I’ve had plenty of people come to me with Achilles tendinopathy, and they said, you know, I’ve been doing all the strength work, but it’s not working.

Well, let me see, what are you doing for Achilles, for building up strength in your calf. And a lot of it ends up being just like, you know, it’s almost high volume, low intensity, high reps of like doing 20 calf raises and all this kind of stuff. And I think there’s a time and place for that, especially when it’s irritated.

But in order to really build up a tendon, you need to do like heavy, slow resistance training. In order to create a stronger, thicker tendon, we need a certain amount of strain on the tendon. Cause a calf stretch won’t do anything. It kind of, lengthens at the muscle, not necessarily at the tendon. But when we work the muscle, and that’s the reason I care about calf strengthening is not necessarily for stronger calves, but it helps the tendons a lot of times. Because if we actually work the calf hard enough, that will cause a certain amount of strain on the tendon.

But also what it’s important to know is the tendon is viscoelastic. It’s kind of like, have you ever had like taffy, like that candy? So I like to explain it like this. So if you try to take the taffy and you try to pull it really quickly, it doesn’t really budge.

Taffy Candy and Taffy Candy Production as a metaphor for tendons viscoelastic properties

Typical recovery times for Achilles tendinopathy

Thomas Butter (15:46)
So the first things to think about then would be looking at the type of training that you’re doing, building up strengths in your calves.

How long would you have to expect to deal with this annoying Achilles issue?

JP (16:03)
That’s a good question. I have a colleague, Chris Johnson, he works with plenty of endurance athletes and he has a saying that says, know, tendons take time. And I think that’s important to remember because it does. I think the reason why sometimes this rehab quote unquote doesn’t work is not because you’re not necessarily doing the right stuff, but rather you don’t have the patience to really see it through. Because these things do take time. it also depends on the area I will say. So for like a mid-substance Achilles tendon issue, you know, a common saying is three to six months. So just to put it in perspective, like it does take time. And when it comes to insertional Achilles tendinopathy,

That can take longer, actually. it could be like a year or over a year.

Thomas Butter (16:51)
That also reiterates the importance to continue running. Not running for six to nine months, that is probably not great for any part of your body and will make it just harder to come back without injuries.

JP (17:04)
And this is kind of the tricky thing that I always work on is when we’re working with these injuries, just because you’re injured doesn’t mean you don’t have to run. You can’t run. Right. We just have to modify it based off certain things we talked about. Right. So examples being with running, let’s say I’m returning someone to run. What are things that I consider?

Or to get someone back to reduce strain on that area and help it a little bit more. A good example would be let’s not stay on even surfaces. Don’t go uphill. So maybe if you are dealing with hills, like you’re gonna walk going uphill, then you could kind of jog down.

Another thing with this is again, speed matters, right? So we do take away all the speed work and we really focus on our easy runs or what’s tolerable. So typically I try to incorporate some form of run walk that the body can handle without it further getting irritated.

Because there is something about the Achilles tendon or any tendon when I say handle, know, sometimes this pain, you you might feel it as you run, but sometimes you might feel it not during the run, but a few hours after or a day after. But we wanna make sure that pain goes, you know, returns to baseline within 24 to 36 hours.

Pain Guidelines

Thomas Butter (18:26)
Is there a pain guideline where you say, okay, my pain shouldn’t go above a certain level or if it does, I better stop, I reduce my volume, if it stays within, I don’t know, a two out of a 10, I can continue running? Is there something like that for achilles tendonopathy?

JP (18:43)
Absolutely, I mean I have to. Especially with runners I always give pain guidelines, always. Otherwise, endurance athletes are really good at enduring things. So if you tell them to do something, even though it hurts, they’ll push through it. But that’s why I always like to set parameters for it. So typical pain guidelines that I pretty much give to all the clients I’ve worked with is

The first one is, you know, we think about the intensity of the pain. We wanna make sure that pain is below a typically four out of 10. you know, the issue with this part that I find is whenever I give a number, everyone’s pain is always once one below that. I’ve messed around with this before. So I’ll say, yeah, don’t go over four out of 10. Then I ask about their pain, you know, it’s like, oh yeah, you know, it was a three out of 10.

JP (19:35)
I think for a certain period, just decide, you know, and I do certain period, I was like, oh, yeah, don’t let the pain go over a three out of 10. Guess what the pain level was, you know, as we chat, oh, yeah, it’s a two out of 10. I like to add a little bit of a component to that, making sure that it’s not, it’s not, it doesn’t feel like it’s aggravating.

Thomas Butter (19:51)
The magic pain level.

JP (20:00)
Because that’s the whole premise behind it. Some discomfort is okay, especially when navigating Achilles tendon issues, but we don’t want it to feel like aggravating or sharp or intense. The second thing I typically mention is I don’t want limping. Like even if it’s painless. I think this is something to, you know, this has happened to certain runners.

They’ll feel like, yeah, I feel like I’m limping, you know, but it doesn’t hurt. Well, that person’s already compensating. And again, we’re trying to take a restorative approach. So something I say is like, we don’t want any limping, even if it’s painless. And then I think a third thing to mention, particularly with these guidelines is I don’t necessarily want the pain to get worse, because something that happens with the Achilles tendon, or just a lot of tendons, is it has like this warm up phenomenon. So sometimes you might initially feel it and be stiff, but as you run, it gets better.

It’s because it’s warmed up. However, there are scenarios, I mean this even happened today working with the runner today is, she, you know, she started running, you know, the pain started going away as she ran and then somewhere along the run walk progression that we’ve created, she started having the pain start coming up again. And that’s when she stopped.

Right? And then we stage it and we understand. it’s natural for the tendon to warm up and feel better as you go, but it shouldn’t really get worse. And then the fourth thing that I mentioned, and I kind of already mentioned this a little bit already, was that I want the pain to return to baseline within 24 to 36 hours. Like I said, it’s normal to get pain a few hours. You know, you might not feel pain now, but you might feel pain a few hours later or even the next day, but I want it to pretty much go away within 24 to 36 hours. If it seems like it’s persisting over 36 to 48 hours, there’s a chance that we need to modify things or adjust certain aspects of the running or exercises that we laid out.

Thomas Butter (22:10)
Let’s assume I’m this unfortunate runner. I’ve been dealing with Achilles pain for nine to 12 months. I’ve been really good with my strengthening exercises. My calves are looking like a cyclists or weightlifters and I still have pain.

I understand there are other treatment options that then come into play. Shockwave therapy, injections, surgery. Is this a common thing that people end up having to go to? Or is this really the rare exception? What are the risks and benefits of these types of treatments?

JP (22:44)
I think there’s some research that mentions like, you know, with shockwave therapy being, you know, somewhat helpful. However, I will mention that typically for physical therapy, it’s usually the opposite way. I usually see these people after all those things. You know, I’ve seen people that spent thousands of dollars on, and I could think of a bunch of them in my head just now, that they’ve had the injection, they’ve had the compression socks, they’ve done like, you know, boots or braces and, you know, all these special things. They’ve had massage, they’ve done like all these passive modalities, but a lot of times, then I come see them and then we work on more of an active approach and that seems to help.

Of course, everyone’s situation is a little bit different. I think it’s important to actually differentiate if it’s actually an Achilles tendon thing. Because in certain cases, it’s not, and it might be something else. I mentioned the paratenon thing, right? Because how we treat that’s a little bit different. Because again, that’s kind of the sheath around the Achilles, but that’s something where certain NSAIDs can be helpful in that case. Though there is plenty of situations that when they do have the paratenon thing, they also actually have tendon things, so it’s a mix of both. So that’s where it gets a little complex. Yeah.

Thomas Butter (24:01)
Is that something that a normal runner would be able to differentiate or is this a time to go and see the doctor or a physiotherapist to understand the difference

JP (24:09)
There are kind of key differences. So unlike the tendon, which is kind of the structure, right? The paratenon is the sheath around the tendon. And it can be incredibly painful too. So the pain mechanism behind that is the rubbing between the tendon and the paratenon and it kind of almost acts a little bit like an insertional Achilles tendon thing initially, because it’ll bother you with like increased dorsiflexion or when you bend that ankle and stuff like that. But there are some key differences. So you might hear a little bit of creaking or what we call crepitus.

That could lead to signs of possibly being a paratenon thing. Another key difference though, I will say that really helps me decide is the difference with how it feels with heel raises and hopping. So typically with a true Achilles tendon, tendinopathy let’s say, hopping is actually more painful than doing a heel raise. In fact, heel raises are usually okay.

When it comes to a paratenon thing, it’s the opposite. You might find that with heel raises, it bothers them because it’s kind of rubbing, know, that sheath is rubbing. But when it comes to hopping, it actually doesn’t feel too bad. Why is that? Because essentially when you do hop on one leg, while it does work, nothing really moves. It all just, it’s more like isometric or stationary.

You know, we talked about strength training, but how are you implementing that is really important. It’s important to understand that because how you apply it can be slightly different and maybe you aren’t ready for strength training. Maybe we need to get it to calm down first, because it’s kind of like a house. it’s, you know, if a house is on fire, if you start trying to build on a house on fire, it’s only going to catch up into more flames. So maybe first we need to calm this thing down first and then build it up.

Running is often not the only contributor to Achilles tendinopathy

And then the second thing I’ll mention specifically with like the Achilles tendon is again, it’s understanding sometimes the details aren’t necessarily in the running, but it’s actually within your daily life. For instance, I mentioned that with an insertional Achilles tendinopathy, it does get irritated with increased or ankle dorsiflexion.

And for certain people, you you might find that they have a habit of trying to stretch it out or they’re trying to rub it or scrape it, or maybe, you know, they like climbing. So the thing about climbing shoes is that they’re very typically very tight. So it’ll press on that Achilles tendon and further and further aggravate it. So it’s important to look at things from all aspects of life and see what is contributing to it.

Thomas Butter (26:48)
That’s definitely an interesting one. as a runner the first thought you’d have, hey it has to be from running, but there might be other factors influencing it. Okay, so to do a quick recap. How do we know whether we got achilles tendinopathy? We feel the pain close to our heel or slightly above that. If we have it, it might be a good idea to look at the type of training that you’re doing. Avoid hills, avoid some of the more intense sessions and speed work.

Build your calf strength. Don’t stop running unless things are really bad. That’s my layman’s takeaway. And of course, for individual cases, things might look a bit different. Is there anything else that would be really important to cover?

How likely is it that the Achilles tears during strenghtening exercises?

JP (27:35)
I mean, because we talked about strengthening. of the biggest things, I hear it all the time is being scared, you know, building confidence in in the Achilles tendon. Because a lot of the reasons why people don’t do heavy strengthening, is because they’re worried about tearing the area. But something I like to mention in a lot of cases, Achilles tendon is much stronger than people typically visualize. So that’s my little tidbit there is like, don’t be scared to load the area. Obviously given the circumstances, but your Achilles tendon is typically much stronger than you think.

Thomas Butter (28:09)
That mental block probably prevents you from doing the strength and the weight you need for those exercises to be effective. For the type of exercises, are there certain exercises better than others?

JP (28:22)
You know, I just care about strengthening it hard enough. You used to think, eccentric exercises are the best. Typically, what we find is, again, just work the muscle hard so it creates that stimulus on the tendon to make it more resilient. So that’s how I see it. Like I said, let’s keep that simple. And then if it’s a little bothersome or hurts with that movement, maybe start with isometrics or stationary holds initially.

That can be a great starting point for someone to start to build capacity or start to work the tendon. So it’s only like heel raise holds or single leg heel raise holds.

Thomas Butter (28:54)
Keep it simple, do something.

Okay, so simple exercises, something that you can commit to do consistently. I think that’s a common theme, with the advice that you give.

JP (29:06)
Yeah, I feel like people overthink things. I think we overcomplicate a lot of these injuries and how to approach it. And then if it seems complicated, then there is no action. And like I said, These are things that typically don’t go away on its own.

Thomas Butter (29:21)
We covered a broad spectrum of questions around Achilles tendinopathy. If you want to know more about this, there are a few ways to learn more about Achilles tendinopathy. Go to Movaia.com if you want a running form analysis, see if overstriding or foot strike might be a problem. Also check out JP’s social media, which we will make sure to drop in the show notes. Also, there you’ll find a lot more information on this topic and if you have ideas for future episodes or any questions then send us a note at community at movaia.com that’s m-o-v-a-i-a.com . Thank you so much JP we’ll be catching up again soon

JP (30:02)
Take care. Bye.

Show notes

More about achilles tendinopathy and specific exercises and videos to fix it in runners: https://movaia.com/achilles-tendinopathy-in-runners-an-evidence-based-guide/

Get your own running form analysis to see if running form could be a reason for knee pain: ⁠https://movaia.com⁠

More from DPT JP Gloria: Youtube: ⁠ @JPGloria ⁠ Instagram: ⁠jpgloria.dpt⁠